Mr Ziya Baghmanli, MD - Medicare General Surgery in Red Bud, IL

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Mr Ziya Baghmanli, MD is a medicare enrolled "Surgery" physician in Red Bud, Illinois. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Memorial Hospital, Sparta Community Hospital D/b/a Quality Healthcare Clinics, Deaconess Illinois Red Bud Regional Hospital Inc and his current practice location is 325 Spring Street, Red Bud, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 282-3831.

Mr Ziya Baghmanli is licensed to practice in Illinois (license number 036.142899) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699068767.

Contact Information

Mr Ziya Baghmanli, MD
325 Spring Street,
Red Bud, IL 62278
(618) 282-3831
(618) 282-5476

Map and Direction




Physician's Profile

Full NameMr Ziya Baghmanli
GenderMale
SpecialityGeneral Surgery
Experience12 Years
Location325 Spring Street, Red Bud, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ziya Baghmanli graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1699068767
  • Provider Enumeration Date: 05/24/2011
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688978240
  • Enrollment ID: I20170627001916

Medical Identifiers

Medical identifiers for Mr Ziya Baghmanli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699068767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036.142899 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalChester, ILHospital
Sparta Community HospitalSparta, ILHospital
Red Bud Regional HospitalRed bud, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital529464937217
Sparta Community Hospital D/b/a Quality Healthcare Clinics670987046237
Deaconess Illinois Red Bud Regional Hospital Inc953753157915

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ziya Baghmanli allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851390132
PECOS PAC ID: 5294649372
Enrollment ID: O20031113000382
Entity NameSparta Community Hospital D/b/a Quality Healthcare Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114984226
PECOS PAC ID: 6709870462
Enrollment ID: O20040414000594
Entity NameRed Bud Illinois Hospital Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740387042
PECOS PAC ID: 2466416821
Enrollment ID: O20041116000148
Entity NameHeartland Rural Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275166134
PECOS PAC ID: 3072513043
Enrollment ID: O20061226000075
Entity NameSparta Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548216476
PECOS PAC ID: 3971408295
Enrollment ID: O20071002000435
Entity NameMemorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1851390132
PECOS PAC ID: 5294649372
Enrollment ID: O20080529000078
Entity NameDeaconess Illinois Red Bud Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619693926
PECOS PAC ID: 9537531579
Enrollment ID: O20230221000484

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ziya Baghmanli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ziya Baghmanli, MD
325 Spring Street,
Red Bud, IL 62278

Ph: (618) 282-3831		Mr Ziya Baghmanli, MD
325 Spring Street,
Red Bud, IL 62278

Ph: (618) 282-3831

Reviews and Comments


Surgery Doctors in Red Bud, IL

Dr. Chung Khan, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 415 W South 4th St, Ste C, Red Bud, IL 62278
Phone: 618-282-8700    Fax: 618-282-8703

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.